Individual provider Active NPI

Cynthia Elizabeth Lee, M.D.

  • Emergency Medicine Physician
  • Ridley Park, PA
National Provider Identifier
1568638815
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD442468 Issued in PA
Practice address
175 E Chester Pike
Taylor Hospital
Ridley Park, PA 19078-2212
Phone
(610) 595-6458
NPI assigned
May 7, 2008
Last updated
Jan 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD442468 PA Primary

Addresses

Primary practice location

175 E Chester Pike
Taylor Hospital
Ridley Park, PA 19078-2212

Mailing address

175 E Chester Pike
Taylor Hospital
Ridley Park, PA 19078-2212
Phone (610) 595-6458

Other names 1

  • Cynthia Lee Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000031 PA Practitioner - Emergency Medicine 3779751029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Emergency Medicine Current Accepting new patients
Main Line Healthcare CurrentSince Sep 3, 2019 Accepting new patients
HCC Health Solutions Inc. Past Accepting new patients
Health Star Inc Past Accepting new patients

Locations

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

1020 Baltimore Pike
Ste 100
Glen Mills, PA 19342
Phone (484) 227-7790

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1568638815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E CHESTER PIKE",
            "address_2": "TAYLOR HOSPITAL",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782212",
            "telephone_number": "610-595-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E CHESTER PIKE",
            "address_2": "TAYLOR HOSPITAL",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782212",
            "telephone_number": "610-595-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD442468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GRAY",
            "middle_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.